Individual provider Active NPI

Mayra Hamilton, OTR/L

  • Occupational Therapist
  • Los Gatos, CA
National Provider Identifier
1821505967
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16496 Issued in CA
Practice address
14966 Terreno de Flores LN
Los Gatos, CA 95032-2023
Phone
(408) 356-8136
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16496 CA Primary

Addresses

Primary practice location

14966 Terreno de Flores LN
Los Gatos, CA 95032-2023

Mailing address

10950 Kester Dr
Cupertino, CA 95014-3916
Phone (650) 743-0418

Other practice location 1

1039 E El Camino Real
Sunnyvale, CA 94087-7719
Phone (408) 720-8498

Other practice location 2

1115 Capitola Rd
Santa Cruz, CA 95062-2844
Phone (831) 475-4055

Other names 1

  • Mayra Bermudez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405002158 CA Practitioner - Occupational Therapist in Private Practice 8729453774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

100 Holland GLN
Escondido, CA 92026-1354
Phone (760) 294-3514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients

Locations

12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1821505967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 KESTER DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143916",
            "telephone_number": "650-743-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14966 TERRENO DE FLORES LN",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322023",
            "telephone_number": "408-356-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 E El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940877719",
            "country_code": "US",
            "telephone_number": "408-720-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Capitola Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622844",
            "country_code": "US",
            "telephone_number": "831-475-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MAYRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "BERMUDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.